NPIMap

Individual provider Active NPI

Robert Lyle Dough Jr., M.D.

  • Family Medicine Physician
  • Asheboro, NC
National Provider Identifier
1104889351
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27449 Issued in NC
Practice address
375 Sunset Ave
Asheboro, NC 27203-5611
Phone
(336) 625-4215
Fax
(336) 626-0919
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27449 NC Primary

Addresses

Primary practice location

375 Sunset Ave
Asheboro, NC 27203-5611

Mailing address

1701 Westchester Dr
Ste 850
High Point, NC 27262-7008
Phone (336) 802-2400

Other identifiers 5

IdentifierTypeStateIssuer
7929096MedicaidNC
29096OtherNCBCBS NC PROVIDER #
5027051OtherNCAETNA PROVIDER NUMBER
39623OtherNCMEDCOST PROVIDER NUMBER
22490OtherNCPARTNERS MEDICARE PROVIDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070427000521 NC Practitioner - Family Practice 7517063142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wake Forest University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Health Network LLCGroup PAC ID 4183538895, 276 clinicians

Practice addresses (Care Compare)

375 Sunset Ave
Asheboro, NC 27203-5611
Phone (336) 625-4215

Hospital & facility affiliations

  • Home Health of Randolph Hospital Home health agency, Asheboro, NC, CCN 347007
  • Amedisys Home Health Care Home health agency, Thomasville, NC, CCN 347094
  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047
  • Randolph Hospital Hospital, Asheboro, NC, CCN 340123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Mar 1, 2014 Accepting new patients
Wake Forest Health Network LLC Family Medicine CurrentSince Mar 1, 2014 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Asheboro Family Physicians of North Carolina, PA Family Medicine PastSince Apr 1, 2007 Accepting new patients
Wake Forest Health Network LLC Family Medicine Past Accepting new patients
Cornerstone Health Care PA Past Accepting new patients

Locations

375 Sunset Ave
Asheboro, NC 27203
Phone (336) 625-4215

1701 Westchester Dr
Ste 850
High Point, NC 27262
Phone (336) 802-2400

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1104889351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WESTCHESTER DR",
            "address_2": "STE 850",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627008",
            "telephone_number": "336-802-2400",
            "fax_number": "336-802-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 SUNSET AVE",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035611",
            "telephone_number": "336-625-4215",
            "fax_number": "336-626-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGH",
        "first_name": "ROBERT",
        "middle_name": "LYLE",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "27449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7929096",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC PROVIDER #",
            "identifier": "29096",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "5027051",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PROVIDER NUMBER",
            "identifier": "39623",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE PROVIDE",
            "identifier": "22490",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.